This inaugural report focuses on the main day-to-day operations of nonprofits with an overview of the financial well-being of nonprofit organizations in the Kentucky and Southern Indiana nonprofit sector. For the vast majority, there are hurdles to overcome to achieve their mission.

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Dean Dorton's study, The Challenge of Integrating Physician Group Operations, examined challenges hospitals in this region face in integrating physician practices. There has been intense interest in the report from many healthcare executives, and feedback on areas of interest for the 2014 study.